Pelvic organ prolapse

Female pelvic organs (bladder, bowel and uterus) are held in place with supportive connective tissues (fascia and ligaments). Underneath the pelvis is our pelvic sling, made of connective tissue and hammock of pelvic floor muscles. A prolapse is descent of pelvic organ/s downwards towards the vaginal or rectal wall.

We are at risk of prolapse if we are:

  • Genetically predisposed (as we all have different connective tissue make up)
  • During our child bearing years
  • Post menopause
  • Chronic cough or allergies
  • Heavy physical work
  • Heavy weights or high impact exercise
  • Being overweight or obese

Women may have little to no symptoms or can have:

  • Heaviness or dragging sensation around vaginal region or behind pubic bone
  • Seeing or feeling a lump or bulge from the vagina or rectum
  • Difficulty emptying the bladder or bowel
  • Experiencing urinary leakage

Research shows that pelvic floor exercises are the first line of treatment, followed by lifestyle factors, good bladder and good bowel habits. Our pelvic physiotherapists are here to comprehensively assess you and give you individualised ways to reduce your symptoms and to prevent the prolapse from worsening. We can give you the resources you need to help you decide the best course of management for you. We commonly cross refer to local Gynaecologists.

We also fit pessaries. A vaginal pessary is a vaginal support device that can help to improve symptoms of prolapse and stress urinary incontinence. Your physiotherapist can assess your suitability for a pessary and fit the correct size and shape pessary for your condition. If you have any questions please contact our friendly staff or to make an appointment with one of our pelvic physiotherapists please Click Here, to be fitted with a pessary please specifically book in with Rebecca Dallin.